Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.67 / $3.67 / $3.67	Facility		$3.67	$3.67	$3.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $3.67 / $6.53	Professional		$3.05	$3.67	$6.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $4.25	Professional		$4.24	$4.24	$4.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $37.84 / $75.77	Facility		$17.69	$37.84	$75.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $4.90 / $4.90	Professional		$3.83	$4.90	$4.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $3.93 / $7.18	Facility		$3.93	$3.93	$7.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $3.93 / $7.50	Professional		$3.34	$3.93	$7.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $7.12 / $9.19	Professional		$5.82	$7.12	$9.19
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $8.49 / $8.49	Professional		$8.49	$8.49	$8.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $8.16 / $9.80	Professional		$3.33	$8.16	$9.80
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.26 / $5.59	Professional		$2.31	$3.26	$5.59